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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - Steroids and Safety: Preventing Medication Adverse
Events During Transitions of Care
September 1, 2018
Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of
Care. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adver… 
                                     
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Overnight, the patient developed atrial fibrillation with rapid ventricular rate (RVR), which required
                                     
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f… 
                                     
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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Factors contributing to healthcare professional burnout during
the COVID-19 pandemic: a rapid turnaround
                                     
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Although RSI is also an abbreviation for the anesthesia procedure, “rapid sequence induction,” confusion
                                     
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - SPOTLIGHT CASE
         
 Recurrent Hypoglycemia: A Care Transition Failure? 
 
 
 
 
 Citation Text: 
 Eytan T. Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. 
 Copy Citation 
 
 Format:… 
                                     
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - So some of the value of a rapid response to an incident is actually just for the sake of doing a high … The actions that hospital leaders take in response to reports teach providers whether the time and risks
                                     
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - The actions that hospital leaders take in response to reports teach providers whether the time and risks … So some of the value of a rapid response to an incident is actually just for the sake of doing a high
                                     
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - skill set that focus on the diagnosis and care of undifferentiated acute problems. 1  The importance of rapid
                                     
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization 
 Rory Jaffe, MD, MBA | July 1, 2011 
                       
 Also Read a Conversation  
 
 
 
 
 
 
 View more articles from the same authors. 
 
 
 
 
 
 
 Citation Text: 
 Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare … 
                                     
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid … April 10, 2024 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient Safety Innovations 
 
 
 
 
 
 
 
 
 Remote Response
                                     
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Evaluating implementation of a rapid … response team: considering alternative outcome measures.
                                     
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Look at what's going on in General Motors in response to ignition switch problems that have led to deaths … The VMPS infrastructure of  kaizen  events and rapid process improvement workshops (multidisciplinary
                                     
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - The VMPS infrastructure of  kaizen  events and rapid process improvement workshops (multidisciplinary … Look at what's going on in General Motors in response to ignition switch problems that have led to deaths
                                     
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin… 
                                     
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges  
 Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024 
                       
 Also Read the Conversation  
 
 
 
 
 
 
 View more articles from the same authors. 
 
 
 
 
 
 
 Citation Text: 
 Leary KB, L… 
                                     
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges 
 Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT 
 | April 24, 2024 
                       
 
 
 
 Also Read the Essay  
 
 
 
 View more articles from the same authors. 
 
 
 
 
 
 
 Citation Text: 
 Leary KB. In Con… 
                                     
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psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - In Conversation With… Richard Hoppmann, MD 
 June 1, 2018 
                       
 
 
 
 Also Read an Essay  
 
 
 
 
 
 
 
 
 
 Citation Text: 
 In Conversation With… Richard Hoppmann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. 
… 
                                     
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - March 7, 2018 
 
 
 
 
 
 
 
 Rapid learning of adverse medical event disclosure and apology.
                                     
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - The patient experienced acute arterial thrombosis with resulting
hand ischemia but responded to rapid